Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,073.80 / $4,897.79	Facility		$213.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $758.58 / $1,819.70	Professional		$208.93	$758.58	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $309.03 / $1,905.46	Professional		$69.18	$309.03	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $870.96 / $2,041.74	Professional		$213.80	$870.96	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,311.31 / $4,897.79	Facility		$213.80	$3,311.31	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,258.93 / $1,995.26	Professional		$223.87	$1,258.93	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,122.02 / $1,995.26	Professional		$239.88	$1,122.02	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $2,454.71	Facility		$724.44	$1,380.38	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,096.48 / $1,862.09	Professional		$251.19	$1,096.48	$1,862.09